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Individual

JAMES E BREDFELDT

Active
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Individual

JAMES E BREDFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00025726
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039580
LABOR & INDUSTRY
WA
01
1598796989
MONTANA MEDICAID
WA
05
8304537
WA
01
8894051
MEDICARE WINSLOW PTAN
WA
01
BR3687
BLUE SHIELD
WA
01
MD472WA
ALASKA MEDICAID
WA
01
US4119861
AETNA/USHC SPECIALIST
WA
Enumeration date
07/05/2006
Last updated
02/22/2013
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